| NPI | 1841052545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT890081) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN009571) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2026-04-20 |